ATI PN MATERNAL NEWBORN CMS PROCTORED EXAM 2026/2027 |
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Section 1: Antepartum Care - Prenatal Assessment, Fetal Development & High-
Risk Pregnancy (Questions 1-30)
Q1. A client's last menstrual period (LMP) began on June 15, 2026. Using Naegele's
rule, what is the estimated date of delivery (EDD)?
A. February 22, 2027
B. March 8, 2027
C. March 22, 2027
D. April 5, 2027
C. March 22, 2027 [CORRECT]
Rationale: Naegele's rule calculates EDD by adding 7 days to the first day of the LMP
and subtracting 3 months (or adding 9 months). June 15 + 7 days = June 22;
subtracting 3 months = March 22, 2027. Options A, B, and D miscalculate the month
or day adjustment.
Correct Answer: C
Q2. During a prenatal exam at 8 weeks gestation, the nurse notes that the client's
cervix feels softer and more compressible than usual. Which probable sign of
pregnancy does this represent?
A. Chadwick's sign
B. Goodell's sign
C. Hegar's sign
D. McDonald's sign
B. Goodell's sign [CORRECT]
,Rationale: Goodell's sign is the softening of the cervix that occurs around 6-8 weeks
gestation. Chadwick's sign (Option A) is bluish discoloration of the cervix and vagina.
Hegar's sign (Option C) is softening of the lower uterine segment. McDonald's sign
(Option D) refers to fundal height measurement, not cervical changes.
Correct Answer: B
Q3. A 10-week pregnant client is examined, and the nurse observes a bluish-purple
discoloration of the cervix and vaginal mucosa. Which sign is being documented?
A. Goodell's sign
B. Chadwick's sign
C. Hegar's sign
D. Ballottement
B. Chadwick's sign [CORRECT]
Rationale: Chadwick's sign is the bluish discoloration of the cervix, vagina, and vulva
caused by increased vascular congestion and estrogen effects. Goodell's sign (Option
A) is cervical softening. Hegar's sign (Option C) is softening of the isthmus.
Ballottement (Option D) is rebound of the fetus felt on vaginal exam.
Correct Answer: B
Q4. At 10 weeks gestation, the nurse palpates the uterus and notes extreme
softening and compressibility of the lower uterine segment just above the cervix.
Which sign is this?
A. Goodell's sign
B. Chadwick's sign
C. Hegar's sign
D. McDonald's sign
C. Hegar's sign [CORRECT]
,Rationale: Hegar's sign is softening of the lower uterine segment (isthmus) that
allows the cervix and body of the uterus to feel as if they are separate structures.
Goodell's sign (Option A) is cervical softening. Chadwick's sign (Option B) is
discoloration. McDonald's sign (Option D) measures fundal height correlation to
gestational weeks.
Correct Answer: C
Q5. A client asks when the pregnancy will be definitively confirmed by her provider.
Which finding represents a positive sign of pregnancy?
A. Nausea and breast tenderness
B. Amenorrhea and frequent urination
C. Visualization of the fetus by ultrasound and auscultation of fetal heartbeat
D. Abdominal enlargement and Chadwick's sign
C. Visualization of the fetus by ultrasound and auscultation of fetal heartbeat
[CORRECT]
Rationale: Positive signs of pregnancy are objective findings that confirm pregnancy,
including fetal heartbeat by Doppler (10-12 weeks), fetoscope (18-20 weeks), fetal
movement felt by examiner (18-20 weeks), and ultrasound visualization. Options A, B,
and D describe presumptive or probable signs.
Correct Answer: C
Q6. A client at 28 weeks gestation is being assessed. The nurse measures the fundal
height from the symphysis pubis to the top of the fundus. Which measurement is
expected according to McDonald's rule?
A. 20 cm
B. 24 cm
C. 28 cm
D. 32 cm
, C. 28 cm [CORRECT]
Rationale: McDonald's rule states that after 20 weeks gestation, the fundal height in
centimeters approximates the weeks of gestation (±2 cm). At 28 weeks, the expected
measurement is approximately 28 cm. Option A is too low (20 weeks). Option B is
low (24 weeks). Option D is high (32 weeks).
Correct Answer: C
Q7. A client's obstetric history is recorded as G3 T1 P1 A1 L2. Which interpretation is
MOST accurate?
A. Three pregnancies, one term delivery, one preterm delivery, one abortion, two
living children
B. Three pregnancies, two term deliveries, no preterm deliveries, one abortion, two
living children
C. Three pregnancies, one term delivery, one preterm delivery, one abortion, one
living child
D. Two pregnancies, one term delivery, one preterm delivery, one abortion, two living
children
A. Three pregnancies, one term delivery, one preterm delivery, one abortion, two
living children [CORRECT]
Rationale: GTPAL stands for Gravida (total pregnancies), Term (37+ weeks), Preterm
(20-36 6/7 weeks), Abortions (losses before 20 weeks or induced), Living (living
children). G3 T1 P1 A1 L2 indicates 3 pregnancies, 1 term, 1 preterm, 1 abortion, 2
living children. Options B, C, and D misinterpret one or more components.
Correct Answer: A
Q8. A pregnant client at 16 weeks gestation is scheduled for the quad screen. Which
maternal serum markers are included in this screening test?
Actual Exam Complete Question Bank | Verified Solutions | Pass
Guaranteed - A+ Grade
Section 1: Antepartum Care - Prenatal Assessment, Fetal Development & High-
Risk Pregnancy (Questions 1-30)
Q1. A client's last menstrual period (LMP) began on June 15, 2026. Using Naegele's
rule, what is the estimated date of delivery (EDD)?
A. February 22, 2027
B. March 8, 2027
C. March 22, 2027
D. April 5, 2027
C. March 22, 2027 [CORRECT]
Rationale: Naegele's rule calculates EDD by adding 7 days to the first day of the LMP
and subtracting 3 months (or adding 9 months). June 15 + 7 days = June 22;
subtracting 3 months = March 22, 2027. Options A, B, and D miscalculate the month
or day adjustment.
Correct Answer: C
Q2. During a prenatal exam at 8 weeks gestation, the nurse notes that the client's
cervix feels softer and more compressible than usual. Which probable sign of
pregnancy does this represent?
A. Chadwick's sign
B. Goodell's sign
C. Hegar's sign
D. McDonald's sign
B. Goodell's sign [CORRECT]
,Rationale: Goodell's sign is the softening of the cervix that occurs around 6-8 weeks
gestation. Chadwick's sign (Option A) is bluish discoloration of the cervix and vagina.
Hegar's sign (Option C) is softening of the lower uterine segment. McDonald's sign
(Option D) refers to fundal height measurement, not cervical changes.
Correct Answer: B
Q3. A 10-week pregnant client is examined, and the nurse observes a bluish-purple
discoloration of the cervix and vaginal mucosa. Which sign is being documented?
A. Goodell's sign
B. Chadwick's sign
C. Hegar's sign
D. Ballottement
B. Chadwick's sign [CORRECT]
Rationale: Chadwick's sign is the bluish discoloration of the cervix, vagina, and vulva
caused by increased vascular congestion and estrogen effects. Goodell's sign (Option
A) is cervical softening. Hegar's sign (Option C) is softening of the isthmus.
Ballottement (Option D) is rebound of the fetus felt on vaginal exam.
Correct Answer: B
Q4. At 10 weeks gestation, the nurse palpates the uterus and notes extreme
softening and compressibility of the lower uterine segment just above the cervix.
Which sign is this?
A. Goodell's sign
B. Chadwick's sign
C. Hegar's sign
D. McDonald's sign
C. Hegar's sign [CORRECT]
,Rationale: Hegar's sign is softening of the lower uterine segment (isthmus) that
allows the cervix and body of the uterus to feel as if they are separate structures.
Goodell's sign (Option A) is cervical softening. Chadwick's sign (Option B) is
discoloration. McDonald's sign (Option D) measures fundal height correlation to
gestational weeks.
Correct Answer: C
Q5. A client asks when the pregnancy will be definitively confirmed by her provider.
Which finding represents a positive sign of pregnancy?
A. Nausea and breast tenderness
B. Amenorrhea and frequent urination
C. Visualization of the fetus by ultrasound and auscultation of fetal heartbeat
D. Abdominal enlargement and Chadwick's sign
C. Visualization of the fetus by ultrasound and auscultation of fetal heartbeat
[CORRECT]
Rationale: Positive signs of pregnancy are objective findings that confirm pregnancy,
including fetal heartbeat by Doppler (10-12 weeks), fetoscope (18-20 weeks), fetal
movement felt by examiner (18-20 weeks), and ultrasound visualization. Options A, B,
and D describe presumptive or probable signs.
Correct Answer: C
Q6. A client at 28 weeks gestation is being assessed. The nurse measures the fundal
height from the symphysis pubis to the top of the fundus. Which measurement is
expected according to McDonald's rule?
A. 20 cm
B. 24 cm
C. 28 cm
D. 32 cm
, C. 28 cm [CORRECT]
Rationale: McDonald's rule states that after 20 weeks gestation, the fundal height in
centimeters approximates the weeks of gestation (±2 cm). At 28 weeks, the expected
measurement is approximately 28 cm. Option A is too low (20 weeks). Option B is
low (24 weeks). Option D is high (32 weeks).
Correct Answer: C
Q7. A client's obstetric history is recorded as G3 T1 P1 A1 L2. Which interpretation is
MOST accurate?
A. Three pregnancies, one term delivery, one preterm delivery, one abortion, two
living children
B. Three pregnancies, two term deliveries, no preterm deliveries, one abortion, two
living children
C. Three pregnancies, one term delivery, one preterm delivery, one abortion, one
living child
D. Two pregnancies, one term delivery, one preterm delivery, one abortion, two living
children
A. Three pregnancies, one term delivery, one preterm delivery, one abortion, two
living children [CORRECT]
Rationale: GTPAL stands for Gravida (total pregnancies), Term (37+ weeks), Preterm
(20-36 6/7 weeks), Abortions (losses before 20 weeks or induced), Living (living
children). G3 T1 P1 A1 L2 indicates 3 pregnancies, 1 term, 1 preterm, 1 abortion, 2
living children. Options B, C, and D misinterpret one or more components.
Correct Answer: A
Q8. A pregnant client at 16 weeks gestation is scheduled for the quad screen. Which
maternal serum markers are included in this screening test?
